Individual provider Active NPI

Madojutola Zahydat Dawodu, PHARMD

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1376819169
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
648016 Issued in MA
Practice address
601 Elmwood Ave # 604
Urmc Dept of Anesthesiology
Rochester, NY 14642-0001
Phone
(585) 275-1384
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 648016 MA Primary

Addresses

Primary practice location

601 Elmwood Ave # 604
Urmc Dept of Anesthesiology
Rochester, NY 14642-0001

Mailing address

Loma Linda VA Hospital 11201 Benton Street
Loma Linda, CA 92357-0001

Other names 1

  • Dr. Tola Dawodu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
648016MAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1376819169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOMA LINDA VA HOSPITAL 11201 BENTON STREET",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE # 604",
            "address_2": "URMC DEPT OF ANESTHESIOLOGY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWODU",
        "first_name": "MADOJUTOLA",
        "middle_name": "ZAHYDAT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "648016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOLA",
            "last_name": "DAWODU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.